Individual
MENA MEGELLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 S CALIFORNIA AVE, CHICAGO, IL 60608
(773) 542-2000
Mailing address
1645 E 50TH ST, APT 19K, CHICAGO, IL 60615-3127
(708) 830-3745
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.067887
IL
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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